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Comprehensive and Integrated Palliative Care for People With Advanced Chronic Conditions: An Update From Several
Xavier Gómez-Batiste1, Scott A Murray2, Keri Thomas3
1The "Qualy" Observatory/WHO Collaborating Center for Palliative Care Public Health Programs, Catalan Institute of Oncology, Barcelona, Spain; Chair in Palliative Care, University of Vic, Barcelona, Spain.
Journal of Pain and Symptom Management
|January 3, 2017
Summary
A growing population needs early palliative care. Integrating this approach across all settings, from primary to hospital care, is crucial for improving patient outcomes and health system efficiency.
Area of Science:
- Gerontology
- Public Health
- Palliative Care Medicine
Background:
- The population of individuals with advanced chronic conditions and palliative care needs is increasing, representing over 1% of the population.
- These individuals account for approximately 75% of mortality and a significant portion of healthcare expenditure.
- Current palliative care responses are often delayed and primarily cancer-focused, neglecting broader patient needs.
Purpose of the Study:
- To highlight the growing need for early identification and integration of palliative care for patients with advanced chronic conditions.
- To describe existing tools and models for identifying patients eligible for palliative care and integrating it across healthcare settings.
- To propose strategies for developing comprehensive, integrated palliative care approaches in primary, hospital, and community settings.
Main Methods:
- Review of recently developed tools for identifying patients with chronic conditions who could benefit from palliative care.
- Analysis of various integrated palliative care models, including those with a public health approach.
- Description of characteristics of current initiatives and suggestions for future development.
Main Results:
- Several tools and integrated palliative care models have been developed in European regions.
- These initiatives aim to improve access to palliative care for all in need, adopting a public health perspective.
- The study outlines strategies for integrating palliative care into primary and hospital settings and community-oriented practices.
Conclusions:
- There is a critical need to identify patients with advanced chronic conditions and integrate early, individualized palliative care across all settings.
- Developing comprehensive, community-oriented palliative care practices is essential to meet the needs of the growing patient population.
- Further research is required to evaluate the effectiveness of various tools and models for patients, families, and healthcare systems.
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